Individual
MR. JUSTIN CRAIG COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1650 MARKET ST, PHILADELPHIA, PA 19103-7301
(323) 205-7088
Mailing address
4139 PRESERVE WAY, RANCHO CORDOVA, CA 95742-7733
(323) 205-7088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016325
PA
Other
Enumeration date
02/12/2008
Last updated
12/05/2025
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